Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $617.47 / $3,180.49	Facility		$158.99	$617.47	$3,180.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $259.83 / $496.84	Professional		$158.99	$259.83	$496.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $580.60 / $1,189.00	Professional		$263.39	$580.60	$1,189.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.60 / $941.41 / $1,444.15	Facility		$805.60	$941.41	$1,444.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $432.34 / $842.01	Professional		$212.47	$432.34	$842.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $351.27 / $823.29	Facility		$188.75	$351.27	$823.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.61 / $514.65 / $10,843.00	Facility		$205.61	$514.65	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $573.35 / $3,405.33	Professional		$299.52	$573.35	$3,405.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $328.86 / $758.14	Professional		$196.66	$328.86	$758.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $188.75 / $351.27 / $823.29	Facility		$188.75	$351.27	$823.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $432.40 / $650.91 / $986.60	Professional		$432.40	$650.91	$986.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $361.53 / $483.18 / $898.56	Facility		$361.53	$483.18	$898.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $793.98 / $3,837.16	Professional		$240.66	$793.98	$3,837.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $803.24 / $1,305.00	Professional		$435.61	$803.24	$1,305.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $511.37 / $1,139.71	Professional		$286.76	$511.37	$1,139.71